PN Capstone Comprehensive
Predictor Exam 2026/2027 | Practice
Questions and Answers Guaranteed
Pass (GRADED A+)
Question 1
A practical nurse is caring for a client with heart failure. Which
assessment finding should be reported to the provider
immediately?
A. Mild fatigue after activity
B. Weight gain of 0.5 lb in one week
C. New onset crackles in both lung bases
D. Decreased appetite
Rationale: Crackles may indicate worsening pulmonary
congestion and fluid overload, requiring prompt intervention to
prevent respiratory compromise.
Question 2
A nurse is preparing to administer insulin glargine. Which
statement is correct?
A. It can be mixed with regular insulin.
B. It should be given intravenously.
C. It should not be mixed with other insulins.
D. It peaks in 2 hours.
,Rationale: Insulin glargine is a long-acting insulin with no
pronounced peak and should never be mixed with other insulin
preparations.
Question 3
Which client should the nurse assess first?
A. Client with a headache rated 3/10
B. Client requesting assistance to the bathroom
C. Client experiencing shortness of breath and oxygen
saturation of 88%
D. Client awaiting discharge instructions
Rationale: Airway and breathing issues take priority. An oxygen
saturation of 88% indicates potential respiratory compromise
requiring immediate assessment.
Question 4
A client receiving warfarin therapy should be instructed to
report which finding?
A. Increased appetite
B. Black, tarry stools
C. Dry skin
D. Occasional fatigue
Rationale: Black, tarry stools may indicate gastrointestinal
bleeding, a serious adverse effect of anticoagulant therapy.
Question 5
,Which laboratory value is most concerning for a client receiving
chemotherapy?
A. Hemoglobin 13 g/dL
B. Platelets 180,000/mm³
C. Sodium 140 mEq/L
D. White blood cell count 1,500/mm³
Rationale: Severe leukopenia increases the risk of infection and
requires immediate attention.
Question 6
A nurse is teaching a client about hypertension management.
Which statement indicates understanding?
A. “I will stop my medication when I feel better.”
B. “I only need to check my blood pressure monthly.”
C. “I will reduce sodium intake and take medications as
prescribed.”
D. “Exercise is unnecessary if I take medication.”
Rationale: Lifestyle modifications combined with medication
adherence are essential for controlling hypertension.
Question 7
A client with diabetes reports shakiness and sweating. What is
the nurse’s priority action?
A. Obtain a urine sample.
B. Administer insulin.
C. Notify the provider.
D. Check the client's blood glucose level.
, Rationale: These symptoms suggest hypoglycemia. Blood
glucose should be assessed immediately to guide treatment.
Question 8
Which finding is expected in a client with dehydration?
A. Bradycardia
B. Dry mucous membranes
C. Bounding pulse
D. Peripheral edema
Rationale: Dry mucous membranes are a classic sign of fluid
volume deficit.
Question 9
A nurse is caring for a postoperative client. Which intervention
helps prevent deep vein thrombosis?
A. Restrict fluid intake
B. Maintain bed rest
C. Encourage early ambulation
D. Limit leg movement
Rationale: Early ambulation promotes venous return and
reduces the risk of thrombus formation.
Question 10
Which client statement indicates a need for further teaching
about tuberculosis medication therapy?
Predictor Exam 2026/2027 | Practice
Questions and Answers Guaranteed
Pass (GRADED A+)
Question 1
A practical nurse is caring for a client with heart failure. Which
assessment finding should be reported to the provider
immediately?
A. Mild fatigue after activity
B. Weight gain of 0.5 lb in one week
C. New onset crackles in both lung bases
D. Decreased appetite
Rationale: Crackles may indicate worsening pulmonary
congestion and fluid overload, requiring prompt intervention to
prevent respiratory compromise.
Question 2
A nurse is preparing to administer insulin glargine. Which
statement is correct?
A. It can be mixed with regular insulin.
B. It should be given intravenously.
C. It should not be mixed with other insulins.
D. It peaks in 2 hours.
,Rationale: Insulin glargine is a long-acting insulin with no
pronounced peak and should never be mixed with other insulin
preparations.
Question 3
Which client should the nurse assess first?
A. Client with a headache rated 3/10
B. Client requesting assistance to the bathroom
C. Client experiencing shortness of breath and oxygen
saturation of 88%
D. Client awaiting discharge instructions
Rationale: Airway and breathing issues take priority. An oxygen
saturation of 88% indicates potential respiratory compromise
requiring immediate assessment.
Question 4
A client receiving warfarin therapy should be instructed to
report which finding?
A. Increased appetite
B. Black, tarry stools
C. Dry skin
D. Occasional fatigue
Rationale: Black, tarry stools may indicate gastrointestinal
bleeding, a serious adverse effect of anticoagulant therapy.
Question 5
,Which laboratory value is most concerning for a client receiving
chemotherapy?
A. Hemoglobin 13 g/dL
B. Platelets 180,000/mm³
C. Sodium 140 mEq/L
D. White blood cell count 1,500/mm³
Rationale: Severe leukopenia increases the risk of infection and
requires immediate attention.
Question 6
A nurse is teaching a client about hypertension management.
Which statement indicates understanding?
A. “I will stop my medication when I feel better.”
B. “I only need to check my blood pressure monthly.”
C. “I will reduce sodium intake and take medications as
prescribed.”
D. “Exercise is unnecessary if I take medication.”
Rationale: Lifestyle modifications combined with medication
adherence are essential for controlling hypertension.
Question 7
A client with diabetes reports shakiness and sweating. What is
the nurse’s priority action?
A. Obtain a urine sample.
B. Administer insulin.
C. Notify the provider.
D. Check the client's blood glucose level.
, Rationale: These symptoms suggest hypoglycemia. Blood
glucose should be assessed immediately to guide treatment.
Question 8
Which finding is expected in a client with dehydration?
A. Bradycardia
B. Dry mucous membranes
C. Bounding pulse
D. Peripheral edema
Rationale: Dry mucous membranes are a classic sign of fluid
volume deficit.
Question 9
A nurse is caring for a postoperative client. Which intervention
helps prevent deep vein thrombosis?
A. Restrict fluid intake
B. Maintain bed rest
C. Encourage early ambulation
D. Limit leg movement
Rationale: Early ambulation promotes venous return and
reduces the risk of thrombus formation.
Question 10
Which client statement indicates a need for further teaching
about tuberculosis medication therapy?
